WHITLEY, KARL

$10K

Total Medicaid Paid

275

Total Claims

271

Beneficiaries

4

Codes Billed

2020-10

First Month

2022-02

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	174	173	$5K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	75	73	$3K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	14	13	$994.07
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$596.75

Medicaid Provider Spending